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Building Permit 12. 0958
o % C rrfifftthh of ®trupant CITY OF PRIOR IJAKE K !rpzrfmrnf of Puilbittg c lxtsprx ± ±.on N ' ) F inal Permitted ❑ C onditional C.O. Expires K N This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following :' Use Classification SINGLE FAM I 1 Y Bldg. Permit No. 12 -0958 Occupancy Type �� Type Construction v'y Zoning District r v� i Legal Description 17 B1 ,I EFFFR S POND 5TH ADDITION Owner of Building Site Address 3662 POINTE PASS NWC ti '^sc Contractor's Name & Address RYI AND H0, IF,S ROBERT D H H I N S NS tf l City Planner _ L ' Building Official I Date: 1 ( Da te: P OST IN CONSPICUOUS PLACE � 1 I xr W Z 2 - � t z U U Z W L. �ang.sa� > tol 0 WWc 0 ,43 U u. u. 2 z t•, 9 00 0000 > CT itillik 0 o a 0 i 0 W ' O » a m E 0 ` C a C 2 O Y C� J Z O V V 4 W 1- 2 0 0 0 0< P o w a X O w Z 0 c 1) O CO 1 U a n3 46 a 0 z ,, a W < 0 0 co I O aZ3v�aTe I L W w W �' aj 000000 I 00 , O = O w ; O. a LL rt 0 ka gF N�� O ' < - w a u. 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O ma • � m Z W O m c 0 J Z Y Y Z z o F W o °811.4 1 0 0 w a t Z oO W Z cc 0 Z • 0 a N � ` 0 a °° =wxmx a z 0 . = W4 = W � ° w w Z x O 6 : � �� ❑0 0000 LV '� O O cg W : :4; 6 cz re o `g 1 111; r 1-1 It W." a a J I- J Mil 0 20 0 a U ° �y Y US W Z . v C �► pC o z M zo W � - CO a CM � % u' co Is. o+ O.F N Z o -z 5 J = w i A Y `� a L - A C W z W Z 80*N -� E w 0 ac ce 0 LLLLLLZY.N O 1! _ s 0 0 I ri Z ° a 0 a 0000,0 0 N ZT 1- 0 0 c OF 0 PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 12__. .. AND UTILITY CONNECTION PERMIT v v x 41HNBSOlt' I. white File 75 z pink city PERMIT NO. 12 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 36(92 -4oi 0( bs� i� e LEGAL DESCRIPTION (office use only) Q I - LOT k7 BLOCK 1 ADDITION & 764 -- A() LL.t1 PID OWNER (Name) (Phone) (Address) (Co DER /tA /� Q 5k' l5! 0 oC (Company Name) " ; (Phone) `� (Contact Name) i A, �, .../ 1,, �, , E( / PkeM � (Phone� 9 — () 0 c (Address) ' q" 1. A l � i k �� cJ _J, TYPE OF WOIIORENew Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition DAlteration ❑Utility Connection CODE.R.C. ❑I.B.C. ❑Misc. f�( Type of Construction: I II III IV V AB PROJECT COST /VALUE $ ( 105, 0 O ccupancy Group: A B E F HI MR S U (excluding land) J • Division: 1 2 3 4 5 I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for Just cau e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X _∎4 . �� J��__ g 3S P3 — �>--- Signature • Contractor's License No. Date Permit Valuation e- Park Support Fee # $ Permit Fee $ 001 1 .�1 • Z3 SAC # $ 2-3C3 S.' '— Plan Check Fee $ ` ® p � ` ' Water Meter Size 5/8 ";m $ 59 © , " State Surcharge $ f� Z Pressure Reducer $ ( 6 O- Penalty $ Sewer /Water Connection Fee # $ ( r°40. Plumbing Permit Fee $ t 54--S-69 Water Tower Fee # $ k 0 0 0 » ► Mechanical Permit Fee $ e ! Buil der's Deposit $ ,� . 1 'S a4 _ — Sewer & Water Permit Fee $ “C• 5-D Other $ Gas Fireplace Permit Fee $ t-4- TOTAL DUE $/ ./ V b This /plicat n o 1 o e • Your Buying Permit Whe Ap oved Paid /0, 0 R No. r t f Date 9 `f /Z - Buildim tiicia D to This is to . r ify that e re. in t above application and accompanying document is in cordance with the City Zoning Ordinance and may proceed as requested. This document when si. by the • ty Pl co.. mutes a temporary Certificate of Zoning compli cc a , allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued / 4 16 (z— Plann • Director Da - Special Conditions, if any our notice for all inspections (952) 447 - 9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 Residential Building Permit Checklist New Construction for Single or Two - family Dwellings in R -1 or R -2 Districts Reviewed by: 4) : ?= ---------- - Date: 1 (to ( i:i_ Building Permit # PID: Zoning: 1 3 f N s � Legal: L , B Subdivision: S Existing Structure? YES , 4 • . Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING 410 NO ORDINANCE , I Yard Setbacks: NA1 FAILS/ !+t LIES Standard Proposed • Front Yard (can be 20' if a , g. w /in 150') A 25' Z 5'. s- • Side Yards 3e 1 -'- 25' if abutting a street I3 . Cp • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 271' over 60' if building wall is 10' -0" or greater of being parallel to --- a side lot line. t _ • Rear Yard ZS • Patio Door: provide for minimum 10' deck or sign 0 ' side/ statement indicating no deck will be built in the future 25' rear • From 100 year flood elevation of wetlandINURP 30' pond. ".— • Refer in- ground pools to the Planning Department • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no less than 50' Floor Area Ratio: NA / FAILS 1 C IES 1 .30 Maximum 1 kl;' - - % 7-L I . Yard Encroachments 1 FAILS /COMPLIES Standard Proposed Eaves and Gutters no ore than 2 feet in width and no closer than 5 feet to a I t line (Easements). NC and other equipment cannot encroach on interior side yards. 1 Tree Preservation: / FAILS 1 COMPLIES 1 Standard Proposed • Total caliper in es • Permit 35% R oval • Caliper Inches Rerr�'oved • • Cali,peniches Preserved • Replacementf '/:1 L: \TEMEk14TE\BLDGLIST.DOC / Driveway: NA 1 FAILS 1 CO 1' +l1� . 0 Standard Proposed • • Maximum width at prop • e 24' '24 • Required setback 5' from side lot line or f 30' from r -o -w on corner lots 1 • Maximum slope . 10% Z • All parking areas to be paved including R -V or ` spaces adjacent to the garage _ • Location to match subdivision grading plan • l■-icip . I Building Height: NA 1 FAILS I CO i 1 35' Maximum 1 2-5 I Shoreland District: NA / FAILS / C 41 IES . Standard 1 Proposed I Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% Maximum Ft. P 3 _ . dk I Bluff in Shorelan.' FAILS / COMPLIES Standard Proposed I • Setback from ■ • . bluff By planning dept. • Bluff impact zone 20' From Top of Bluff • Engineering certification submitted /approved By City Engineer • Grading in bluff or bluff impact zone No importing /exporting Floodplai gi FAILS / COMPLIES Standard Proposed • 100 ye. ood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' Spring Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing structures. If existing structure was constructed 9119190- 11/22/97 then additional foot is not required. • Elevations 15 feet from structure Must be flood elevation or higher • Road access must be no more than 2 feet below 907.9' for Prior Lake Regulatory Flood Protection Elevation 913.4' for Spring Lake Accessory Structure:() * / FAILS / COMPLIES Standard 1 Proposed I • Size 1000 sq.ft. or 30% rear yard • Not located in front yard (Materials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L : \TEMPLATEIBLDGLIST.DOC 0 sost Builders Deposit City of Prior Lake A $1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. 4 &Pa ? DATE : . v & t9 SITE ADDRESS: b off oi 4/, PERMIT # (2 21515 REFUND TO BE MAILED TO: 1 Aim/ A _ &/ /' i /V _� - aI Mid „ M III i'1�� NI. PLEASE REMEMBER /// li / Co d 60 ,ynda S. All n, Building Services A mount 1. KEEP STREETS CLEAN DURING CONSTRUCTION 7• T- -1) Date t. tc� 801.20204 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: A . % I& / 1/ A__ 4 _.„,p ,. b,..,_, ...„...,,,,,,b.,_ ,,, . w t tL 3 , ® ; . , � d , ” g _ s e7, , 1E ,4. 4t, sd -"` r , g ` , ,4: fx M t ; - { #, y t� . fireai x 9 6 ' , , '"Y „wfi� tv, .. � %,,,.14-,„&,„,,,, . 4 . " a�' 4 " - - E ; 3 . •' s". 2: '; F Y 're4 „ , e tl 9 e a � , , — 4 ; # `4 ' ` : . 114 .9 Fr. a° ,, 1 . ° . < 5 � :'DC ,f, „ ; F� i * . -4 ", j °' 41 17 ' ^ .. i .. a 7g x i "'" i § a./.,.. _ z 1 ^" Ni t i 1` '"". � �` ^ t s3� s, ��'^ # � s —.x- R ?'''''g ( S x '�ib ,4 awry �, 4 a ' � . / ` t r �' ..« ` x � 3 Y T s ti, m s a o - # ° a a _ c ffiYffi: : r,:- m 3 IV .,,.. P: " ., ,•wS* t n . } ,s £ "'' ' �' _ _ _ 649 'ta " c , ,SC e , ° s , ' 1-0- fir F =s. [a i .. f �N..:� 6 ".`"` ". � F S� x .�t d � ' ", uT i9 +;a P » � 9 9 F E .,. _ .� I ., ; � � ,gi;.^ 4,....1,..nr....ov,,,,a,14iNt 0 1;4J% y{((W g} '" 3 �.. .: f a ., ° F u• "d .. F l �1x • s - 4`*5 II. 0 000L5 22u■ 4044LL54431: 936L9455410 Oi PRip H 'Y V t White - Building y� , Canary - Engineering ...) NNSSO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /l° /wD APPLICATION RECEIVED e. IA > (L The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 366z pd!A1Te /OJT . Accepted ✓ Accepted With Corrections Denied Reviewed By: g ik______1 Date: t ('— Comments: - ' - t57 e. # c-t - >" -1 S f - (2-er- 5 -73 # 4-- W-165 "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ' el.' • "" w - .4. ,.. -414 • — ^.7 • . Vist PR/0 0 1 P.. v e • r11 White - Building Canary - Engineering 4-ttNATEsdo- Pink - Planning - IT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / / it-'74 Accepted Accepted With Corrections Denied /49 Reviewed By: Date: - Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." 04 , H White - Building 4'�NNEs Canary - Pink - Planning Engineering BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED V 2 0 / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J (1 (. )6 A i . Accepted X Accepted With Corrections Denied Reviewed By: Date: ' -- /2... Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Standards "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." • • • ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS • Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and /or to the rear of the lot in drainage swales within the drainage - easement. ▪ All- bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. , . • ▪ The'silt fence required by the-erosion control plan must be installed prior to any earthwork being started. • The builder is responsible for maintaining the erosion control measures until the turf is established. • ,. The rock construction entrance must be installed at the time of f:.. -ibackfilling of the foundation. • • • • • • • • • • • • • • • • • • 6: \Admin \dept info \AbDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc • SEP -10 -2012 14 54 FROM: STAR PLUMBING AND EX 19528847468 TO 9524474245 P.1 D . AD of 'c Rio Date Rec'd ti CITY OF PRIOR LAKE SEWER AND WATER PERNIIT z: at I PERMIT NO. 1Z 5$ 3. Mkt AppUwnI t• Time type Or print and sign sign atbottom) ADDRESS 3 t � 2 ZONING office use) — LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER. • - (Name) 11....4 = - ! •..= (Phone) (Address) . • (Addcrts) (City) (Zip Cod ode) APPLICANT .. ; • 4 (Name) _ A • .1/ Lit (Phone)9 J Lf9 . r' (Address) C7 7 ills 4111W =w , _ ! A, 5 C) L (Address) / (city) ._ (Zip Code) (Contact Person) i# (Phone) .60 , 38N • APPLICANT SIGNA 4111114 �� /7 �t � DATE "�l / APPLICANT PLEASE COMPLETE BELOW Size of water service / " inches. - Location of any couplings from structure feet. • Type of sewer pipe. ❑ ABC at PVC [{ Cast Iron Estimated length of sewer line , ero feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential scwcr'atid water line connection - $51.50 Industrial, Coll & Multi-family 1% ofjob cost with a.$5150 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # • SEWER AND WATER PERMIT FEE S - STATE SURCHARGE $ •' 'AID WITH TOTAL PERMIT FEE $ PERMIT (office Use only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By SMUdim O111441 Date ; 24 hour notice for all inspections (952) 447-9850, fax (952) 447 - 4245 4646 Dakota Street S.E, Prior Lake, Minnesota 55372 • �i r Rlo� Date Rec'd i A CITY OF PRIOR LAKE PLUMBING PERMIT 7.» x rn 'kNESO* ` n " r PERMIT NO. Z �� a tsalat 4 "xr 0 ?- I:Pk s AMA • (Please type or print and sign at bottom) 1 ADDRESS ZONING (oitKC,t u,.te) gtoCo% A 1r\k c S S V\ _ —_j LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNE (Na AX ` 7 - r l` tne) ��'�� -�{ S v l (Phone) (Address) (Name) (2e r Z r 1 (Name) (� ` , (Phone) (Address) 2-230 i 3 , YV a• IP B �v (Addre' -) (City) (Zip Code) (Contact Person) C° - 't1 t r) LL S U r-& (Phone) ( 52) 7 {0-7 - k 4' APPLICANT SIGNATURE % r DATE 2-0 2 APPLICANT PLEASE COMPLETE BELOW 1 Quantity Type of Fixture Quantity Type of Fixture 3 Bath Tub with or without shower 3 Rough -ins Dishwasher t Water Heater 1 Floor Drain 124 ( Water Softener , Lavatory (Bathroom Sink) % Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector 1 Shower Stall Backflow Assembly 1 Sinks Backflow Assembly Test Bar Sink 2... Lawn Sprinkler _ 4 Water Closet (Toilet) t Other FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149,50 Residential, Additions & Alterations $49.50 '''--` -' "xst $ 9 . 2 3 4 "00 Building Permit # The Minnesota Statutes 3260.1483 - "SURCHARGE' has been extended PLUMBING PERMIT FEE $ until June 30, 20I3, STATE SURCHARGE $ .50 The minimum surcharge for TOTAL PERMIT FEE $ "fixed fee" permit is 5.00 �_.. This Application Becomes Your Building Permit When Approved Paid Receipt N o . �ITV i Date By E-1311-' 24 . 1J l4 ' Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • o f Q F VRta CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONINCIFIREPLACE PERMIT [a ' t •tr t. rink file NNESU 2. c: (*ay PERMIT N j A1 (Please type or print and sign at bottom) 3. vNfow Applicant ADDRESS . (oltueuse) % (Q / h -S LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ONVNER A . (Name) 1" � 4`-t' {' /Lt.'r t rt t i t S C-7 cu to r2 (Phone) (Address) APPLIC - (Name)J`7- c„......, h one _ (Phone) (Address) .2_2-00 1 \ % �� ) Y r\Sv l t �� �5 ), 3 f (ddress) (City) 7 I (zi Code (Co ntact Petson l t� t (I� f U (Phone) ( 2) f to 5 APPLICANT SIGNATURE DATE Q J 2- APPLICANT PLEASE COMPLETE BELOW : EW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS • . . FURNACE MAKE AND MODEL (jLiLYr tom` 't ( ©D S21 — 4 FUEL NC ' S"7c FLUE SIZE RETURN OPENINGS IN PUT i Y ") i ()(`O OUTPUT 2' 1 Ob i TYPE OF SYSTEM BEATING OR POWER PLANT PLEASE NOTE: Air Cond � 'Gv arm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach Gravity Q Hot Water III echanical ❑ Radiation into Required Side Yard Setbacks. ►� it Conditioning ❑ Special Devices Fireplaces 'told]. Box Additions or ❑ ent. System - Cantilevers to the Outside of Buildings Buildiu Y ❑ Other Devices g Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & AIterations 549.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 The Minnesoea Statutes § 3 6Bi_I4i "� ost $ C , S • 10 • OD Building Permit # 'StlRCEIARGC has been extcntft d until. )tine 30, 2013, HEATING PERMIT FEE $ The titiriirritttn surcharge; for a STATE SURCHARGE $ ,50 "fixed Teen pertnttis 55.011 TOTAL PERMIT FEE Tills Application Becomes Your Building Permit When Approved Paid Receipt �Ittt) IV 4 , I I ' � ti B uildin¢ Of'firdal D gte Date By ,� 24 hour notice for all inspections (952) 447 -9850, tax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 _ _~•■•••■- ° -' �^" n � � ~~ ° 1 p RI0 CITY OF PRIOR LAKE Date Rec'd \ O. - eaa._ HEATING /AIR CONDITIONING/FIREPLACE PERMIT v f-t k =1.17 416'NE;s I. link File PERMIT NO. 2. Gree CO 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 36'2 , o /UNU LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID zr 4 e a)d, CY 'z— L2 9_ /A -»-LA2 (Phone) v (Address) / csqq /LL E-Ati i. it,es 51 q HEARTH & HOME TECHNOLOGIES, INC. APPLICANT dba FIRESIDE HEARTH & HOME (Name) Lie. BCO512060 (Phone) 2700 FAIRVIEW AVENUE N (Address) ROSEVILLE, MN 55113 -- -- -- `613.2561 (City) (Zip Code) (Contact Person) / (Phone) �'/2 - - 3C 3 APPLICANT SIGNATURE _EQ DATE /O — Z -- 1 2_ APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER. PLANT ❑Wain Air Plants PLEASE NOTE: Air Conditioner [] Steam Units and Fireplaces Cannot Encroach 4t avity ❑ Hot Water into Required Side Yard Setbacks. echanical ❑ Radiation Air Conditioning 0 Special Devices Fireplaces with Box Additions or [Went. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL h A/QIr 31 FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ iOt3 . Od Building Permit if The Minnesota Statutes * 326[4.148 HEATING PERMIT FEE $ "SURCHARGE" has been changed for one year effective STATE SURCHARGE $ .50 .italy 1, 2010, anti! Jane 30, 2011. TOTAL PERMIT FEE $ The minimum surcharge fora "fixed fee" permit (Office Use Only) is tiff, beginning .July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date PAID 1N11'H 24 hour notice for all inspections (952) 447 -9850, fax (952) 447- 42UILDING PERMIT 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 y a 4 • CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Co -7� 84c! / Property Address 366 &/r Acs V ikraies 19,.um9 5TI1417,Tio ,)J Lot Area yy yy 747Z . LL SD yy yyyyyy .yy yy yyyy Feet x 30% = 1(1 yy � yy � /r yy T T T T T T T T T T T T? T T T T T T T T T T T T T? T T T T T T T? T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE l g J d 54- DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS - -DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x _ nit a' ✓e,...4 7(0 S (Sidewalk/Parking Areas) x Sic✓e coetf'k = . 7c( 5 F TOTAL PAVED AREAS 75c(5 PATIOS/PORCHES/DECKS x = (Open Decks' /." min. opening between x = boards, with a pervious surface below, are not considered to be impervious) X = TOTAL DECKS l°`e 85 • OTHER x = X = TOTAL OTHER TOTAL IMPERVIOUS SURFACE 276s F UNDER/OVER /14. $e/ lr Prepared By YtIsi ( /1f/ Date e- Company ! r 04 (f y n eef1.45 1'A• Phone 4 (4 687-(4/ PTM PRIOR LAKE B E ILARDING AND ENT OF IN SPECTION INSPECTION RECORD SITE ADDRESS 3G c2-- � � ir- .rss NATURE OF WORK 5 l+sc. t+fro• 6.L. N m Ate,.., Peo.c44 USE OF BUILDING s,.sco PERMIT NO. tz -4158 DATE I It‘. (rz CONTRACTOR 'e PHONE 'Isl. Lrt.Goos NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY EPARAT DOC ENT -�-� 1 t. ¢ U J t' i N INSPECTOR / �, L ATE FOOTING 1 ,�./c►'�I 7L /z I FOUNDATION (Prior to Backfill) 1 'h 1 'r /zz /z LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED G o at ., ers0.0aR,, 2tiLLL ROUGH - INS SEWER / WATER /SEPTIC gd FRAMING jj 4412)/7 INSULATION / /cy ELECTRICAL PLUMBING V/ w R.A1 0 /9 1 >Z HEATING (if required) )0P3 /r FIREPLACE rJ G LINE AIR EST wtiw- !'Z /4� iki)cN) » .-. B P � COVE NO WORK UNTIL ABOVE HAS E EN SIGNED , o) - zi L L - 1 7Z Je' ?./ / 1 FIN ALS GRADING (Prior to Sodding) BUILDING T' 8 f i3 Qtr o q ?/23 h ELECTRICAL PLUMBING ' y o HEATING J ?I /? DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 -9850